Madison Family Dental Prof LLC
NPI #1184279036 in Madison, South Dakota
Provider Information
- NPI Number
- 1184279036
- Entity Type
- Organization
- Organization Name
- Madison Family Dental Prof LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 502 NE 2ND ST
- City
- Madison
- State
- South Dakota
- ZIP Code
- 57042
- Phone
- (605) 256-2670
Authorized Official
- Name
- MR. TROY LARRY KEYES, DDS
- Title
- OWNER/DDS
- Phone
- (605) 256-2670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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